Do I need blepharoplasty? Maybe ptosis? I'm 27 and have dark circles and bags very noticeable. (photos)
Doctor Answers 3
Blepharoplasty and Tear Trough Filler
Thank you for sharing your question and photos. It is difficult to accurately assess without an in-person evaluation; however, you maybe be a good candidate for an upper lid skin pinch. This is a procedure that is less invasive than a blepharoplasty and involves removing the excess skin of the upper lids. An experienced plastic surgeon will be able to determine if you have true eyelid ptosis. With regards to the dark circles you are noticing, you are a good candidate for tear trough fillers with a hyaluronic acid filler such as Restylane. This helps by restoring lost volume, which in turn, improves the appearance of the dark circles. I advise consulting with a board certified specialist who can offer you more specific recommendations for these issues.
You have profound levator dehiscence with compensatory eyebrow elevation.
We call this latent ptosis. This makes your upper eyelids look very hollow and depleted. Surgery is needed to repair the anterior levator. Unfortunately even some very experienced surgeons to not understand this issue. By repairing the disinserted tendons inside the eyelids, the eyelids will be better supported and the eyebrows will relax helping to restore your appearance. Surgery, not fillers is the answer here.
You have some ptosis of the right upper lid. This can be fixed surgically. See an oculoplastic surgeon to evaluate the eyelid muscles and determine what surgery would be best for you. You lower lids don't look bad. They are a little hollow so some filler here would help.